Holy Cross Hospital - Jordan Valley West

Provider Information

Services

• Breast MRI

  SSP RA011

  up to

  $1,891

• Breast Ultrasound

  SSP RA012

  up to

  $442

• Bronchoscopy

  SSP PU000

  up to

  $2,141

• Colonoscopy

  SSP GA002

  up to

  $1,633

• Colonoscopy via Stoma

  SSP GA000

  up to

  $1,633

• CT

  SSP RA001

  up to

  $1,569

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,931

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $946

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $428

• Mammogram

  SSP RA010

  up to

  $299

• MRI with Contrast

  SSP RA007

  up to

  $3,323

• MRI without Contrast

  SSP RA005

  up to

  $2,771

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $1,450

• Ultrasound

  SSP RA008

  up to

  $1,506

• X-Ray

  SSP RA000

  up to

  $784